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1. In 2010, the revised Standards and Scope of Gerontological Nursing
Practice waspublished. The nurse would use these standards to
a. promote the practice of gerontologic nursing within the acute care setting.
b. define the concepts and dimensions of gerontologic nursing practice.
c. elevate the practice of gerontologic nursing.
d. incorporate the concepts of health promotion, health
maintenance, diseaseprevention, and self-care
ANS: D
The current publishing of the Standards and Scope of Gerontological Nursing
Practice in 2010 incorporates the input of gerontologic nurses from across the
United States and includes comprehensive concepts and dimensions important to
those practicing gerontologic nursing. It was not intended to promote gerontologic
nursing practice within acute care settings, define concepts or dimensions of
gerontologic nursing practice, or elevate the practice of gerontologic nursing.
DIF: Remembering OBJ: 1-1 TOP: N/A
MSC: Safe and Effective Care Environment
2. When attempting to minimize the effect of ageism on the practice of nursing older
adults, anurse needs to first
a. recognize that nurses must act as advocates for aging patients.
b. accept that this population represents a substantial portion of those
requiring nursing care.
c. self-reflect and formulate one‟s personal view of aging and the older patient.
d. recognize ageism as a form of bigotry shared by many Americans.
ANS: C
Ageism is an ever-increasing prejudicial view of the effects of the aging process
and of the older population as a whole. With nurses being members of a society
holding such views, it is critical that the individual nurse self-reflects on personal
feelings and determines whether such feelings will affect the nursing care that he
or she provides to the aging patient. Acting as an advocate is an important nursing
role in all settings. Simply accepting a fact does not help end ageism, nor does
recognizing ageism as a form of bigotry.
DIF: Applying OBJ: 1-6 TOP: Integrated Process: Teaching-
Learning MSC: Safe and Effective Care Environment
3. The nurse planning care for an older adult who has recently been diagnosed with
rheumatoid arthritis views the priority criterion for continued independence to be
the patient‟s
a. age.
b. financial status.
c. gender.
, Gerontologic Nursing 6th Edition Meiner Test Bank
d. functional status.
, Gerontologic Nursing 6th Edition Meiner Test Bank
ANS: D
Maintaining the functional status of older adults (especially those with chronic
health conditions) may avert the onset of physical frailty and cognitive
impairment, two conditions that increase the likelihood of institutionalization.
4. A nurse working with the older adult population is most likely to assess a
need for afinancial social service‟s referral for which person?
a. White male
b. Black female
c. Hispanic male
d. Asian American female
ANS: B
The poverty rate among older women is substantially higher than that seen among
men. The poverty rates for people of color is higher than that of whites.
DIF: Remembering OBJ: 1-4
TOP: Nursing Process: Assessment MSC: Safe and Effective Care Environment
5. A nurse is preparing to complete a health assessment and history on an older
patient. Which statement reflects an understanding of the general health status of
this population?
a. “I‟ll need to document the medications the patient is currently prescribed.”
b. “I would like to understand how supportive the patient‟s family members are.”
N RbUein
c. “Most older patients are ISg G
trNB.C
eateTd for a vOariety of chronic health care
issues.”
d. “It will be interesting to see whether this patient sees herself as being healthy.”
ANS: D
It is a misconception that old age is synonymous with disease and illness. In
fact, older adults already tend to view their personal health positively despite
the presence of chronic illness, disease, and impairment. The nurse should
always determine the patient‟s sense of wellness and independence when
conducting a health and history assessment. An assessment of medication use
and family support is important for any patient. Many older adults do have
chronic health conditions, but their perception is more important than a single
number.
DIF: Applying OBJ: 1-4 TOP: Nursing Process:
AssessmentMSC: Health Promotion and Maintenance
6. The nurse is caring for an older adult who has been admitted to an acute care
hospital for treatment of a fractured femur. The family expresses concern about
their father‟s pending transfer to a subacute care facility. What response by the
nurse is best?
a. “Acute care facilities lack the long-term physical therapy your dad requires.”
b. “Your dad will be much happier in a more serene, private environment.”
c. “The subacute facility will focus on helping your dad to
maintain his independence.”
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